Case History Report
Rapid endodontic management of type II dens invaginatus using an MTA plug: a case report
Article first published online: 20 NOV 2012
©2012 Special Care Dentistry Association and Wiley Periodicals, Inc.
Special Care in Dentistry
Volume 33, Issue 2, pages 96–100, March/April 2013
How to Cite
Fayazi, S., Bayat-Movahed, S. and White, S. N. (2013), Rapid endodontic management of type II dens invaginatus using an MTA plug: a case report. Special Care in Dentistry, 33: 96–100. doi: 10.1111/j.1754-4505.2012.00300.x
- Issue published online: 1 MAR 2013
- Article first published online: 20 NOV 2012
- dens invaginatus;
- maxillary lateral;
- MTA plug
Dens invaginatus is an anomaly characterized by an infolding of enamel and dentin that can lead to caries and pulpal death while the tooth is still immature, and present difficulties with diagnosis and treatment. Generally such open apices are managed by long term apexifaction procedures. This article demonstrated rapid management of a maxillary lateral incisor having a type 2 dens invaginatus, necrotic pulp, open apex and very large periradicular lesion using calcium hydroxide for one week prior to placement of a mineral trioxide aggregate (MTA) plug. After setting of the MTA, the remaining canal space was obturated using a warm vertical gutta percha technique. At 6 months follow-up the patient was asymptomatic, the lesion had almost entirely resolved, and, the root was already completely surrounded by bone.